Finnish Preclinical and Clinical Medical Students as Strategic L2 English Learners: Language Learning Strategies and Communicating with Patients

This thesis focused on medical students’ language learning strategies for patient encounters. The research questions concerned the types of learning strategies that medical students use and the differences between the preclinical students and the clinical students, two groups who have had varying amounts of experience with patients. Additionally, strategy use was examined through activity systems to gain information on the context of language learning strategy use in order to learn language for patient encounters. In total, 130 first-year medical students (preclinical) and 39 fifth-year medical students (clinical) participated in the study by filling in a questionnaire on language learning strategies. In addition, two students were interviewed in order to create activity systems for the medical students at different stages of their studies. The study utilised both quantitative and qualitative research methods; the analysis of the results relies on Oxford’s Strategic Self-Regulation Model in the quantitative part and on activity theory in the qualitative part. The theoretical sections of the study introduced earlier research and theories regarding English for specific purposes, language learning strategies and activity theory. The results indicated that the medical students use affective, sociocultural-interactive and metasociocultural-interactive strategies often and avoid using negative strategies, which hinder language learning or cease communication altogether. Slight differences between the preclinical and clinical students were found, as clinical students appear to use affective and metasociocultural-interactive strategies more frequently compared to the preclinical students. The activity systems of the two students interviewed were rather similar. The students were at different stages of their studies, but their opinions were very similar. Both reported the object of learning to be mutual understanding between the patient and the doctor, which in part explains the preference for strategies that support communication and interaction. The results indicate that the nature of patient encounters affects the strategy use of the medical students at least to some extent.

“He who plants a tree – Plants a hope.” Reforestation possibilities in Tingana, Peru

Tropical forests have decreased drastically especially in the Peruvian Amazon. In Peru deforestation is caused especially by migrant people; building of houses and infrastructure, clearing land for agricultural purposes and illegal logging and mining. Deforestation results in hindering ecosystem vitality, boosting climate change and decreasing livelihood possibilities. As a counterpoint to cutting down trees there is reforestation, which refers to re-establishment of forest cover. Deforestation and reforestation can be analysed in the light of Forest Transition theory. According to it, due to economic growth, the amount forest cover first diminishes but then starts to increase as the economy in general strengthens. Thus, the research framework is set to this theory. In this study the focus is on analysing socioeconomically sustainable reforestation possibilities in the community of Tingana, Peru. It is situated in a municipal conservation area around which deforestation has been heavy. Land cover change is analysed from LandsatTM satellite images covering a 15 year time period, 1995–2010, in the surroundings of the study area. Semi-structured interviews have been done with a sample size of 25 people and shed light on the perspectives on forests, reforestation and economical activities. The synthesis created from the two methods gives information about the possibilities to enforce reforestation in Tingana and the phase of forest transition in the area. The results show that forest cover has decreased around the surroundings of Tingana leaving the conservation area isolated from larger forest areas. Knowing that forest cover has also decreased inside the conservation area due to agricultural expansion it is certain that fragmentation harms biodiversity causing changes in local climate, which can have knock-on effects for farming and local livelihoods. Therefore reforestation is welcomed when it ensures both conservation and financial benefits and when carried out on locals’ terms. Regarding conservation and incomes the best option would be to plant native timber species together with fruit production species to create agroforestry systems. Economically the community should aim towards an economy that relies on ecotourism as it already practiced in the area. Reforestation could increase ecotourism, which then could in turn increase reforestation via revenues. Regarding forest transition it is likely that forest re-establishment will occur if reforestation along with ecotourism is implemented on long time scale.

Framing the Gas Market Uncertainty in Russian Gas Export Policy: The Role of Underlying Ideas

Gas suppliers including Russia are facing the gas market uncertainty caused by the fast growing development of shale gas and liquefied natural gas (LNG). Given that Russia is one of the key energy suppliers in the world, Russian energy policy is intensively studied. However, the majority of the researches focus on the conventional gas sector and very few focus on the unconventional gas sector such as shale gas and LNG. In this light, this thesis aims at examining how the gas market uncertainty is framed in Russian gas export policy as well as discover how the interaction between underlying ideas and the policy frames informs policymaking. After analyzing Russian official documents, three policy frames were identified: shale gas—competition frame, LNG—cooperation frame and cooperation—competition frame. The shale gas—competition frame emphasizes the confrontation with the shale revolution in the USA. The LNG—cooperation frame rests on the idea of building cooperation with the Asia-Pacific region by the LNG trade. The cooperation—competition frame describes the oscillating Russia-EU relationship. Both the economic and ecological dimensions in the policy environment enable these three policy frames. However, the cooperation frame is constrained by the physical dimension since Russia has only one LNG facility in use. The institutional dimension underpins the idea of competition in the cooperation—competition frame. The reason is because of the divergent perspectives between Russia and the EU regarding regulations and market liberalizations. In sum, the result is different from the traditional geopolitical frame which depicts Russia as an energy superpower. Instead, this thesis suggests that Russia is shifting the priority from political interests to business interests in Russian gas export policy, particularly in the domain of shale gas and LNG.